36D1053644 CLIA NUMBER - OPTIMED RESEARCH LTD

Laboratory Demographics

CLIA Number: 36D1053644

Facility Name: OPTIMED RESEARCH LTD

Facility Address:
8080 RAVINES EDGE COURT SUITE 200
COLUMBUS, OH
ZIP 43235
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Facility Phone Number: 614 430-8022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972630168

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	36D1053644
LAB Type	Physician Office
Facility Name	OPTIMED RESEARCH LTD
Street	8080 RAVINES EDGE COURT SUITE 200
City	COLUMBUS
State	OH
ZIP	43235
Phone	614 430-8022
CertificateType	4
CertificateEffectiveDate	5/1/2022
CertificateExpirationDate	4/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024